Individual
KIM I HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5316 RAINIER AVE S, SEATTLE, WA 98118-2354
(206) 721-5600
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020186,
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023969
—
WA
01
—
233073
LABOR & INDUSTRIES
WA
Enumeration date
02/12/2007
Last updated
05/18/2009
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